مجله دانشگاه علوم پزشکی بیرجند (Apr 2022)
Quality of the cardiac massage provided by special Nurses in Birjand’s hospitals, Birjand, Iran during 2019: Short Communication
Abstract
The prognosis of patients with cardiac arrest depends on the provision of high quality cardiac massage and the nurses are expected to be able to provide high-quality cardiac massage. Therefore, this study aimed to investigate the quality of cardiac massage and its effective factors in 90 nurses of Birjand hospitals, Birjand, Iran, in 2019. This cross-sectional descriptive study was conducted using the available sampling method. Moreover, four quality items of cardiac massage (depth, speed, full chest recoil, continuity) were examined using a Q-CPR device and extracting the percentage of optimal performance of each item. According to the obtained results, the Mean±SD of the total scores of cardiac massage quality, massage depth, continuity, speed, and full chest recoil were recorded at 30±15, 20±27, 21±20, 26±38 and, 22±35 by Q-CPR device. A significant increase was observed in the quality of massage in males compared to females, after passing a resuscitation workshop, and with the increase of education level (P=0.03). There was a significant difference between and the quality of cardiac massage measured by the Q-CPR devise after the cardiac resuscitation workshops and the quality of cardiac massage before the workshop (P=0.01). There was a significant association between the level of education and the quality of cardiac massage measured by the Q-CPR device (P=0.001). The results indicated that only 30% of cardiac massage performed by nurses was performed correctly, which was not desirable. Therefore, it is necessary to look for methods that lead to the higher efficiency of nurses in performing high-quality cardiac massage. It seems that there is a need for the use of audio and video feedback tools during the cardiac massage as well as resuscitation workshops with a skill-enhancing approach. Further studies are recommended to provide effective feedback to nurses and paramedics in order to observe the standards of high-quality cardiopulmonary resuscitation.
